Flashcards in Module 3 (part of test 2) Deck (75):
Infective endocarditis was FIRST referred to as?
What are 3 causative agents in Infective Endocarditis?
What are the 2 types of VALVES IE affects?
NVE- natural valve endocarditis
PVE- prosthetic valve endocarditis
infection acquired at hospital
80-90% of IE cases come from what 2 sources?
What bacteria (found in normal flora of mouth and GI) cause IE?
What is the MOST common cause of community acquired NVE?
What is the MOST common bacteria (not found in normal flora) and common in IV-drug users that causes IE?
25-30% of IE cases are caused by WHAT underlying cause?
Mitral Valve Prolapse
IV drug users have a ___% risk of getting IE within 2yrs of drug use?
What is wrong in the valve and leaflets in Mitral Valve Stenosis?
Valve is Narrowing, hardening, thickening
Leaflets get stiff/rigid
A murmur is a audible sound heard due to _______
TURBULENT blood flow
Mitral Valve Prolapse is seen as a _____ of blood into the ______during contraction?
What are the 2 causes of Rheumatic Heart Disease?
What symptom stands out in Rheumatic Fever (or is a pathognomonic)?
_______lesions obstruct vessels?
What structures FEED the superficial muscle of the heart?
Osler Nodes are seen in?
Strep origin IE
Osler Nodes are ________, _______, ________ nodules on the _____ and _____?
A Staph Aureus IE can present with what on the soles and palms?
Describe the size, and color of Janeway Lesions?
What causes Roth Spots, Splinter Hemorrhages, and clubbing of fingers?
immune complex vascularities
What percent of non-treated IE pts. will die?
What is the survival rate of someone who IS treated for IE?
AVG. hospital stay for someone with IE is?
Symptoms of IE usually present?
Regular Prophy causes a bacteremia how often?
Do we Pre-Med for use of LA into healthy tissue?
You are ______times more likely to cause IE by yourself than by having dental work done?
The adult dose for pre-med with Amoxicillin is?
50 mg/kg body weight
Adult dose of Clindamycin?
20 mg/kg body weight
What medication has the same dose as Amoxicillin?
Rheumatic Fever is a disease found in what age group?
Rheumatic Fever is caused by?
Beta-hemolytic group A strep
The cause of Rheumatic Fever is unknown but believed to be ______ related?
The term for an abnormal heart murmur?
What VALVE is affected most in Rheumatic Fever?
Rheumatic Fever can cause ________which usually affects the large joints?
A MACULE with diffuse redness, and elevated edges is called a?
Chorea is a ____ of involuntary muscles but NOT at _______?
What percentage of people with Rheumatic Fever have a damaged heart?
What is the most common valve disease associated with Rheumatic Heart Disease?
Mitral Valve Stenosis
Heart murmurs can be of _____ or ______ origin?
A Pathologic murmur is due to?
(IE, prosthetic valve, etc.)
A Physiologic or _____ murmur deals with?
(velocity, viscosity, volume)
Which murmur needs to Pre-Med? Pathologic or Physiologic?
Pathologic (may need to have a consult first)
Congenital Heart Disease is a ________ of the Great Arteries?
What are the Great Arteries?
The Aorta USUALLY exits what ventricle?
The Pulmonary Artery exits what ventricle in Congenital Heart Disease?
What is the Tx for CHD and when do pts. usually receive the Tx?
1st few wks of life
What is the most common defect of CHD?
Tetralogy of Fallot
What is another name for Tetralogy of Fallot?
Blue Baby Syndrome
Tetralogy of Fallot results in ________hypertrophy?
Do we Pre-Med for Tetralogy?
The _______ _________ connects the pulmonary artery and the aorta during fetal development?
If an adult has Ductus Arteriosus what happens?
blood from aorta partially empties back into the pulmonary artery and back into the lungs
Not as much oxygen gets to the body parts
Do we Pre-Med for Ductus Arteriosus?
Yes- if it wasn't fixed
Consult- to find out specifics
Do we Pre-Med for a Ventricular Septal Defect?
An Atrial Septal Defect is due to?
fetal foramen ovale not closing
When do signs of an Atrial Septal Defect present?
Do we Pre-Med for Atrial Septal Defects?
A narrowing of the Aorta is called?
Coarctation of Aorta
A narrowed aorta causes __________ hypertrophy?
Do we Pre-Med for a Coarctation of the Aorta?
Yes- if not repaired
No- if repaired
The Aortic Valve has 2 leaflets?
What is the most common congenital abnormality?
Bicuspid Aortic Valve
Approximately ____% of prosthetic valve pts. experience problems within ____yrs?
Do we Pre-Med for prosthetic valves?
After _______we no longer have to pre-med for coronary artery bypass pts.?
When do we Pre-Med for a pt. with a pacemaker?
within 1st 6 mo of getting it
(after that we need a consult to see)
What is a disease with general vasculitis developing in early childhood with an unknown cause that has tissue sloughing as a major sign?
Tissue sloughing in Kawasaki Disease is due to?
Do we Pre-Med for artificial joints/prosthetic implants?
up to dentist
(unless at high risk)